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Active, Not Recruiting

NCT Number: NCT05818553

A Clinical Trial of PRAX-562 in Subjects With Developmental and Epileptic Encephalopathies (DEE)

A Clinical Trial of PRAX-562 in Subjects With Developmental and Epileptic Encephalopathies (DEE)

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Age range

1 year–18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2 / Phase 3

Primary location

Praxis Research Site, Tel Litwinsky, Israel

Loading trial locations.

About this study

A Phase 2, double-blind, randomized clinical trial to evaluate the safety and tolerability of PRAX 562 in pediatric participants with SCN2A- and SCN8A- DEEs.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Has a documented variant in SCN2A with onset of seizures occurring in the first 3 months of life or has a diagnosis of SCN8A-DEE supported by both clinical and genetic findings.
  • Has a seizure frequency as follows:
  • At least 8 countable motor seizures in the 4 weeks immediately prior to Screening as reported by the parent/legal guardian or in the opinion of the investigator as documented in medical notes.

AND o At least 8 countable motor seizures during the 28 day Baseline Observation Period (during which seizure frequency is recorded in a daily seizure diary).

  • Additional inclusion criteria apply and will be assessed by the study team.

Exclusion criteria

  • Has any clinically significant or known pathogenic or likely pathogenic genetic variant other than in SCN2A and SCN8A or a genetic variant that may explain or contribute to the participant's epilepsy and/or developmental disorder.
  • Has a documented, functionally characterized loss-of-function (LoF) missense variant or a presumed LoF variant (nonsense or frameshift variant) based on genetic testing and/or clinical evidence that prior exposure to a sodium channel blocker (SCB) medication worsened seizures.
  • Has 2 or more episodes of convulsive status epilepticus requiring hospitalization and intubation in the 6 months prior to Screening.
  • Additional exclusion criteria apply and will be assessed by the study team.

Treatment and study plan

PRAX-562

Drug

Once daily oral or G-tube treatment.

Primary outcomes

  1. PART A (Cohorts 1 and 2) RDB: To evaluate the safety and tolerability of PRAX 562 in pediatric participants with SCN2A- and SCN8A- DEEs

    Time frame: 16 weeks

    Changes from baseline in monthly (28-day) motor seizure frequency

  2. PART B (Cohorts 1 and 2) OLE: To evaluate the long-term safety and tolerability of PRAX-562 in pediatric participants with DEEs

    Time frame: 48 weeks

    Incidence and severity of TEAEs

Secondary outcomes

  1. PART A (Cohorts 1 and 2) RDB: To assess the effect of PRAX-562 on the frequency of countable motor seizures in pediatric participants with DEEs

    Time frame: 16 weeks

    Changes from baseline in monthly (28-day) motor seizure frequency

  2. Plasma concentrations of PRAX-562

    Time frame: 16 weeks

    Sparse pharmacokinetic (PK) sampling will be used to calculate mean concentrations at baseline, and at Weeks 2, 4, 6, 8,10, 12 and 16.

  3. Seizure Frequency (OLE Extension)

    Time frame: 48 weeks

    Efficacy assessments (seizure diary) will be collected daily and reviewed at timepoints Day 1, Week 16, Week 32, and Week 48.

  4. To assess the effect of PRAX-562 on the frequency of countable motor seizures in pediatric participants with DEEs

    Time frame: 16 weeks

    Changes from baseline in monthly (28-day) motor seizure frequency

  5. Incidence of Treatment-Emergent Adverse Events (TEAEs) [Safety and Tolerability])

    Time frame: 16 weeks

    The number of participants with treatment-emergent adverse events will be reported by severity and preferred term.

Sponsors and collaborators

Lead sponsor

Praxis Precision Medicines

Industry

Registry information

Official study title

A Phase 2,Double-Blind,Randomized Clinical Trial to Explore the Safety,Tolerability,Efficacy, and Pharmacokinetics of PRAX-562 in Pediatric Participants With Developmental and Epileptic Encephalopathies Followed by Open-Label Extension(OLE)

Acronym: EMBOLD

Important dates

Study start
2023
Primary completion
2025
Study completion
2027
First posted
Apr 19, 2023
Registry last updated
Jan 29, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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